PMID- 34410582 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20220809 IS - 1708-0428 (Electronic) IS - 0960-8923 (Linking) VI - 31 IP - 11 DP - 2021 Nov TI - Robotic-Assisted Versus Laparoscopic Revisional Bariatric Surgery: a Systematic Review and Meta-analysis on Perioperative Outcomes. PG - 5022-5033 LID - 10.1007/s11695-021-05668-4 [doi] AB - This systematic review and meta-analysis investigated the role of robotic-assisted surgery in patients undergoing revisional bariatric surgery (RBS). According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a literature search of PubMed, Cochrane Library, Web of Science, and Google Scholar was performed: (("sleeve"AND "gastr*")OR "bariatric"OR "gastric bypass")AND("robot*"OR "DaVinci"OR "Da Vinci")AND("revision*"OR "conversion*"). In this review, six studies with 29,890 patients were included (2459 in the robotic group). No difference in postoperative complications (RR 1.070, 95%CI 0.930-1.231, p = 0.950), conversions to open surgery (RR 1.339, 95%CI 0.736-2.438, p = 0.339), length of stay (SMD - 0.041, 95%CI - 0.420-0.337, p = 0.831) or operative time (RR 0.219, 95%CI - 0.539-0.977, p = 0.571) was found. This systematic review and meta-analysis showed no significant advantage of robotic-assisted RBS; on the other hand, it showed a non-inferior efficacy compared to standard laparoscopy. CI - (c) 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Bertoni, Maria Vittoria AU - Bertoni MV AD - Department of Surgery, Lugano Regional Hospital, via Tesserete 46, 6900, Lugano, Switzerland. FAU - Marengo, Michele AU - Marengo M AD - Department of Surgery, Bellinzona e Valli Regional Hospital, via Ospedale 10, 6500, Bellinzona, Switzerland. FAU - Garofalo, Fabio AU - Garofalo F AD - Department of Surgery, Lugano Regional Hospital, via Tesserete 46, 6900, Lugano, Switzerland. FAU - Volonte, Francesco AU - Volonte F AD - Department of Surgery, Lugano Regional Hospital, via Tesserete 46, 6900, Lugano, Switzerland. AD - Department of Surgery, Sant'Anna Clinic, Via Sant'Anna 1, 6924, Lugano, Switzerland. FAU - La Regina, Davide AU - La Regina D AD - Department of Surgery, Bellinzona e Valli Regional Hospital, via Ospedale 10, 6500, Bellinzona, Switzerland. FAU - Gass, Markus AU - Gass M AD - Department of Surgery, Cantonal Hospital of Lucerne, Spitalstrasse , 6000, Lucerne , Switzerland. AD - Department of Health Sciences and Medicine, University of Lucerne, 6000, Lucerne, Switzerland. FAU - Mongelli, Francesco AU - Mongelli F AUID- ORCID: 0000-0002-8824-651X AD - Department of Surgery, Lugano Regional Hospital, via Tesserete 46, 6900, Lugano, Switzerland. francesco.mongelli@mail.com. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20210819 PL - United States TA - Obes Surg JT - Obesity surgery JID - 9106714 SB - IM MH - *Bariatric Surgery MH - Humans MH - *Laparoscopy MH - *Obesity, Morbid/surgery MH - Postoperative Complications MH - Retrospective Studies MH - *Robotic Surgical Procedures MH - Treatment Outcome OTO - NOTNLM OT - Bariatric surgery OT - Laparoscopic surgery OT - Morbid obesity OT - Revisional surgery OT - Robotic surgery EDAT- 2021/08/20 06:00 MHDA- 2021/10/26 06:00 CRDT- 2021/08/19 12:31 PHST- 2021/06/06 00:00 [received] PHST- 2021/08/11 00:00 [accepted] PHST- 2021/08/11 00:00 [revised] PHST- 2021/08/20 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2021/08/19 12:31 [entrez] AID - 10.1007/s11695-021-05668-4 [pii] AID - 10.1007/s11695-021-05668-4 [doi] PST - ppublish SO - Obes Surg. 2021 Nov;31(11):5022-5033. doi: 10.1007/s11695-021-05668-4. Epub 2021 Aug 19.